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A wife refers her husband for substance abuse counseling. His drug of choice is cocaine which he has been using episodically with friends at a poker game (biweekly to weekly) for some years. She is disturbed at the illicit nature of the drug and the long standing use. He stated that though he recreationally uses, he doesn't crave cocaine, doesn't seek it out but rather uses with friends at the game who bring it. He feels that other than his wife being upset, he has no other social or occupational issues. Given the information provided, how is his use of cocaine BEST described? - IT IS NOT described as: Substance abuse, cocaine intoxication, or cocaine use disorder. What is Neuroplasticity? - the ability of the brain to form and reorganize synaptic connections following an injury or longterm drug use. What does the experienced effect of a drug depend upon? - t taken & past experiences of administration drug use How is drug tolerance BEST described? - A (Decreased) sensitivity to a drug overtime List some drug cues or triggers: - 1.Prior drug use setting 2.Drug Paraphernalia 3.Seeing others use What does (SASSI) stand for & what is it? - (Substance Abuse Subtle Screening Inventory) a brief self-report questionnaire that identifies substance use disorder. For adults & adolescents. now there's 3rd edition (SASSI-3) for adults. (67 true & false items & a 26 item self report questions) What happens as tolerance for barbiturates develops? - The margin between intoxication & lethality stays the same.What is the MOST common symptom of Wernicke's encephalopathy? - Confusion What does (formication) refer to? - The sensation of bugs crawling on skin. Or (Magnon's syndrome) What is the organ most damaged by cocaine abuse? - The Heart List (3) basic chemical classes of amphetamines: - 1.Methamphetamine (meth) 2.Amphetamine Sulphate (speed) 3.Dextroamphetamine (Dexy's) In terms of difficulty quitting (dependence), which of the following drugs ranks the highest? - Nicotine THC content in marijuana varies widely. True or false? - True Regarding substance abuse, what does the Convergence Theory propose? - Rates of substance abuse among women are converging with men. Which subcategory of alcohol use disorder onset is NOT found in the elderly? - (Early onset) alcoholism At an initial meeting with a new client, what is the FIRST requirement? - Establish Rapport What does motivational interviewing primarily involve? - Supportive PersuasionWhat percentage of individuals with a dual diagnosis (co-occurring disorders) received treatment for only their mental illness? - 32.9% percent What factors can affect screening instrument validity? - ng/privacy rt/trust instructions Which function is NOT what a Certified Alcohol & Drug Abuse Counselor can perform? - Diagnose Mental Disorders What does the acronym (GATE) stand for& what is it? - 1.Gather Info 2.Access Supervision 3.Take action 4.Extend action (addresses suicidality) Assessments processes and instruments need to be sensitive to: - 1.Race & ethnicity 2.Age & gender 3.Disabilities What are serious mental health symptoms that resolve with abstinence in (thirty days or less) most likely to? - Substance abuse-induced disorders that require continued abstinence. Which one of the following alcohol abuse screening tests is designed specifically for use with (adolescents), and briefly describe it? - (CRAFFT) A brief 6 question screening tool that identifies high risk alcohol & substance use disorders. Derives name from key words: C: Ever driven in a CAR with someone using alcohol/drugs? R: Ever use to RELAX? A: Ever use ALONE?F: Ever FORGET things while using? F: Ever been told by family/FRIENDS to stop? T: Ever gotten in TROUBLE using? Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation? - I need to ask you a few questions about su


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